Severe reports

The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.

Hoffman Homes - Gerber PA

Inspected September 7, 2016 Self-harm Hospitalisation

Furthermore, thel child paychiatic evaluation reeds: “Recently [the child] had cut severe enough that fhe/she] required 27 sutures, [The child] reports [he/she] last cut. [...] The child then swallowed the razor blade. According to notes taken by Staff Member 8, the facility's contractad peychiatriat, Child #1 swallowed the blade because “wea hoping H would kill (hinvher].” The faoilty’s internal policy prohiblis penci] sharpeners In the posseasion of childran or present In the facility at any tins. ‘The factity developed an initial written safely plan on fEEEEhch indicated that Child #1 “will be encouraged to utilize [molding clay, lying down, coloring and humor] to cope with negative feelings.” This written safety plan was not developed with methods fo monitor and prevent self-harm, increased general supervision, or othar adequate methods to ensure child safety.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.142. "[...]" marks text left out between sentences.

Hoffman Homes - Emmanuel PA

Inspected September 7, 2016 Self-harm Hospitalisation

In plain words: A child in the program told a staff member about thoughts of self-harm, but the facility did not immediately increase supervision. Later that evening, the child attempted an act of self-harm, and the home then increased supervision. Our summary of the state's report. The state's own wording follows.

" Risk: Miiig#has reported suicidal ideation thalglipouchts to self harm Plan: The Therapist processed coping skills thatllll—has readily available and revised lllMeafety pro! ort Min manag M@@B safety. [...] According to Staff Member A's notes from that session, Child #1 Indicated “continued thoughts of self-harm’. During an interview with representatives of the department, Child #1 also expressed that he/she “had urges and flashbacks and wanted to i wrap sheet around neck"on and also stated that he/she expressed this to Staff Member A during the 15 therapeutic i interaction, ‘The facility did not Immediately implement intensive supervision as part of their intemal safety plan procedure protocol. i At6:14 pm or Chitd #1 attempted an act of self-harm. [...] At 9:10 pm the home implemented Increased supervision due to suicidal ideation and self-harm.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.142. "[...]" marks text left out between sentences.

The Bradley Center - Robinson PA

Inspected September 22, 2015 Self-harm Hospitalisation

On 3/6/2016, Resident #3 self-harmed with a piece of glass he/she reported to have found near the back doors of hallway A of the _ Expressions unit, Resident #3 was sent (o Ohio Vailey Hospital via ambulance where heishe was ‘reated wilh medical glue for an Injury to hisfhes left arm,

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.87.a.

The Bradley Center - Robinson PA

Inspected April 23, 2015 Self-harm Hospitalisation

On 3/6/2015, Resident #3 self-harmed with a piece of glass he/she reported to have found near the back doors of hallway A of the Expressions unil, Resident #3 was sent to Ohio Valley Hospital via ambulance where he/she was {reated with medicat glue for an Injury to his/her left arm.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.87.a.

Sarah A Reed Children's Center (Selden Cottage) PA

Inspected December 19, 2014 Self-harm Hospitalisation

Clients on high supervision must be in direct Vew of tho assigned statt af ai times.” The facility's Observation Record indicated the “ctlont nas had extersive recont inpatient hospitalization, sign‘ficant for suicidal ideutiowplan, saif-harm, and audilury dalfucinallons, Dr. ordered to place client on Hiyh Supervision, af 1:64 PM, as a precaution sue to uncarfamty of ckent's baseline.” On 12/5/14 al approximately 8:30 ?M in Resident ¥ 1's bedioum. Resident # 1 reported to Stall Member A that he/she fell unsate and had Just attempted to self-harm by scratching his/her left wrist Staff Member A lefl Ihe resident's bedroom to notify the medical department and asked Staff Member 8 lo moaitor the resident.

From the state's report. Citation, incident inspection. Cited: 55 Pa. Code § 3800.142.

KC 1, INC PA

Inspected September 24, 2014 Self-harm Hospitalisation

On 08/04/14, Resident #1 and Resident #2 each ingested multiple tablets of the medications that were obtained by Resident #1 on 8/03/14. This resulted In Resident #1 being taken to the local hospital by facility staff persons and then being transferred by medical helicopter to the regional nospital to receive inpatient treatment, and Resident #2 being taken to the local hospital by facility alatf pereons {o receive oulpalignt treatment on 8/04/14.

From the state's report. Citation, complaint inspection.

How a report gets on this page

A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.